scholarly journals Factors Related to Hypocalcemia in human Brucellosis: a retrospective review

2020 ◽  
Author(s):  
Qing Zhen ◽  
Xiaohan Zhang ◽  
Siwen Zhang ◽  
Qianqian Chen ◽  
Xiangyi Zhang ◽  
...  

Abstract Background. In recent years, some severe complications of brucellosis have been raised many researchers’concern. Hypocalcemia, which is commonly seen in serious infectious diseases, such as sepsis, severe bacterial pneumonia and AIDS, has been reported less in Brucellosis. To our knowledge, serious consequences would be caused by hypocalcemia. Some studies have provided evidence of high serum calcium levels in patients with brucellosis , but few studies have reported the incidence and impact of brucellosis hypocalcemia,except for one case of rifampic-associated hypocalcemia. Objective . To summarize the clinical and epidemiological characteristics , to explore the influence of hypocalcemia on brucellosis.In addition, the purpose of this study was to investigate the relationship between rifampicin in the treatment of brucellosis and secondary hypocalcemia, so as to provide clinical guidance. Methods . A retrospective study was carried out to review the records of 572 brucellosis patients from January 2015 to December 2016 of a hospital in shenyang, liaoning province, China.Patients were divided into three groups according to the serum calcium level, one group of 102 patients was hypocalcemia ,one group of 442 patients was normal corrected calcium and the other group of 28 patients was hypercalcemia. Results . The history of administration of rifampicin(OR=2.098, 95%CI=1.145~3.844)and tetracycline(OR=2.105, 95%CI=1.266~3.501)are the related factors of hypocalcemia. Conclusions . Further evaluation in randomized clinical trials of the indicative role of hypocalcimia is needed to be followed up.Provide evidence for the risk factors of hypocalcemia in brucellosis patients with the history of rifampicin administration.

2020 ◽  
Vol 54 (4) ◽  
pp. 403-431
Author(s):  
Bulat R. Rakhimzianov

Abstract This article explores relations between Muscovy and the so-called Later Golden Horde successor states that existed during the fifteenth and sixteenth centuries on the territory of Desht-i Qipchaq (the Qipchaq Steppe, a part of the East European steppe bounded roughly by the Oskol and Tobol rivers, the steppe-forest line, and the Caspian and Aral Seas). As a part of, and later a successor to, the Juchid ulus (also known as the Golden Horde), Muscovy adopted a number of its political and social institutions. The most crucial events in the almost six-century-long history of relations between Muscovy and the Tatars (13–18th centuries) were the Mongol invasion of the Northern, Eastern and parts of the Southern Rus’ principalities between 1237 and 1241, and the Muscovite annexation of the Kazan and Astrakhan khanates between 1552 and 1556. According to the model proposed here, the Tatars began as the dominant partner in these mutual relations; however, from the beginning of the seventeenth century this role was gradually inverted. Indicators of a change in the relationship between the Muscovite grand principality and the Golden Horde can be found in the diplomatic contacts between Muscovy and the Tatar khanates. The main goal of the article is to reveal the changing position of Muscovy within the system of the Later Golden Horde successor states. An additional goal is to revisit the role of the Tatar khanates in the political history of Central Eurasia in the fifteenth and sixteenth centuries.


2019 ◽  
Vol 29 (1) ◽  
pp. 189-202

The article advances a hypothesis about the composition of Michel de Montaigne’s Essays. Specialists in the intellectual history of the Renaissance have long considered the relationship among Montaigne’s thematically heterogeneous thoughts, which unfold unpredictably and often seen to contradict each other. The waywardness of those reflections over the years was a way for Montaigne to construct a self-portrait. Spontaneity of thought is the essence of the person depicted and an experimental literary technique that was unprecedented in its time and has still not been surpassed. Montaigne often writes about freedom of reflection and regards it as an extremely important topic. There have been many attempts to interpret the haphazardness of the Essays as the guiding principle in their composition. According to one such interpretation, the spontaneous digressions and readiness to take up very different philosophical notions is a form of of varietas and distinguo, which Montaigne understood in the context of Renaissance philosophy. Another interpretation argues that the Essays employ the rhetorical techniques of Renaissance legal commentary. A third opinion regards the Essays as an example of sprezzatura, a calculated negligence that calls attention to the aesthetic character of Montaigne’s writing. The author of the article argues for a different interpretation that is based on the concept of idleness to which Montaigne assigned great significance. He had a keen appreciation of the role of otium in the culture of ancient Rome and regarded leisure as an inner spiritual quest for self-knowledge. According to Montaigne, idleness permits self-directedness, and it is an ideal form in which to practice the freedom of thought that brings about consistency in writing, living and reality, in all of which Montaigne finds one general property - complete inconstancy. Socratic self-knowledge, a skepticism derived from Pyrrho of Elis and Sextus Empiricus, and a rejection of the conventions of traditional rhetoric that was similar to Seneca’s critique of it were all brought to bear on the concept of idleness and made Montaigne’s intellectual and literary experimentation in the Essays possible.


2010 ◽  
Vol 54 (5) ◽  
pp. 488-497 ◽  
Author(s):  
Arnaldo Schainberg ◽  
Antônio Ribeiro-Oliveira Jr. ◽  
José Marcio Ribeiro

It has been well documented that there is an increased prevalence of standard cardiovascular (CV) risk factors in association with diabetes and with diabetes-related abnormalities. Hyperglycemia, in particular, also plays an important role. Heart failure (HF) has become a frequent manifestation of cardiovascular disease (CVD) among individuals with diabetes mellitus. Epidemiological studies suggest that the effect of hyperglycemia on HF risk is independent of other known risk factors. Analysis of datasets from populations including individuals with dysglycemia suggests the pathogenic role of hyperglycemia on left ventricular function and on the natural history of HF. Despite substantial epidemiological evidence of the relationship between diabetes and HF, data from available interventional trials assessing the effect of a glucose-lowering strategy on CV outcomes are limited. To provide some insight into these issues, we describe in this review the recent important data to understand the natural course of CV disease in diabetic individuals and the role of hyperglycemia at different times in the progression of HF.


2012 ◽  
Vol 2 (6) ◽  
pp. 22
Author(s):  
Georgia Stephanou ◽  
Georgios Gkavras

This study study aimed to examine (a) adolescents’ attributions and emotions for their subjectively perceived good and bad relationships with their parents, (b) the association of the intuitive and attributional appraisals of the adolescent-parent relationship with the subsequent emotions, and (c) the role of the perceived importance of the good adolescent-parent relationship in the generation of attributions and emotions, and in the impact of attributions on emotions. The sample comprised 670 adolescents, both genders, aged 14-17 years old, representing various parental socioeconomic levels. The results showed that: (a) It was extremely important for the adolescents to have good relationships with their parents, (b) the perceived good adolescent-parent relationships were attributed to internal, stable and personal controllable factors, along with parent- and self-parent interactive- related factors, while the estimated as bad relationships were attributed to external, stable, personal uncontrollable and external controllable factors (parents’ negative properties), (c) the adolescents experienced intense positive and negative emotions (mainly, general / outcome- dependent) for the perceived good and bad relationships with their parents, respectively, (d) both intuitive and attributional appraisals of the relationship were associated with the emotions, particularly in the perceived bad adolescent-parent relationship, and (e) the relative strength of the association of the attributional dimensions with the emotions varied between the perceived good and bad adolescent-parent relationship and across the various emotions. Keywords: Adolescent-Parent Relationship, Attributions, Emotions, Intuitive Appraisal.


2019 ◽  
Vol IV (III) ◽  
pp. 115-123
Author(s):  
Muhammad Asif ◽  
Muhammad Azizullah Khan ◽  
Malik Adil Pasha

Human capital is the backbone of any business and its behavior reflects how the company would achieve its goals and objectives in its business. This study examines the relationship between psychological capital (PC) and employees’ engagement (EE) with the moderating role of conflict management (CM) in the financial sector of Pakistan. A questionnaire composed of established scales were administered to 278 employees in the financial sector, including various banks, investment companies, real estate companies, insurance companies, and brokerage firms at Islamabad. After determining the reliability, the model was analyzed with the help of correlation and regression. Research indicates that PC positively influences EE. This relationship improves further positively when conflicts are handled effectively. Overall, this effort contributes to the existing literature on the history of worker’s involvement by examining the direct impact of PC and CM on EE and moderation of CM.


ZARCH ◽  
2016 ◽  
Author(s):  
Victor Ténez Ybern

Si asumimos que el paisaje es el resultado perceptible de la relación dinámica entre un determinado grupo humano y su medio; esa definición que se cuenta entre las de más consenso entre aquellos que dicen hacer paisajes, suscita de inmediato ciertas preguntas: ¿Cuál es el papel de aquel que pretende crear paisajes, si el paisaje es un proceso que se da por si solo? ¿Hasta qué punto incide cambiar el aspecto de un lugar en esa relación entre la gente y su entorno cotidiano?El texto pretende explorar las consecuencias de esas paradójicas preguntas, a partir de una primera hipótesis: la del carácter intrínsecamente político del proyecto del paisaje. De esta hipótesis parte la intención de mostrar la evolución de la reflexión sobre ese papel político del hacer paisajes, en el que el hacedor de paisajes que está siempre situado entre los equilibrios de poder que se establecen entre las instituciones y la gente. A partir de aquí, se analizan algunos momentos clave de la historia de ese paisaje político, donde el “hacedor de paisajes” intenta encontrar su lugar.En el horizonte del texto, aparecen también imágenes de la historia reciente de mi ciudad, a modo de ilustración de lo dicho. If we accept that landscape is the perceptible result of the dynamic relationship process between a specific human group and an environment, this definition, which enjoys the most acceptance among those people who ‘make landscape’, immediately raises certain questions: What is the role of the person who aims to create landscapes, if landscape is a process that takes place on its own? To what point does this affect the relationship between people and their daily setting?This article initially aims to explore the consequences of that paradox through a first hypothesis: the intrinsically political nature of the landscape project. This hypothesis springs from the intention of describing the evolution of the reflection on this political role of making landscape, in which ‘landscape makers’ constantly find themselves affected by the balance of power established between institutions and people. Subsequently, analysis will be conducted on a series of key periods in the history of the political landscape in which landscape makers endeavour to find their place.Pictures of the recent history of my city appear interspersed within the text, in order to illustrate what has been described.


2021 ◽  
Vol 11 (1) ◽  
pp. 29-36
Author(s):  
Zahra Nikmanesh ◽  
◽  
Mehdi Darvish Molla ◽  
Mehrnosh Mehranfard ◽  
◽  
...  

Background: Although high-risk behaviors lead to adverse physical, psychological, and sociological consequences, less attention has been paid to identifying their related factors. The aim of this study was to investigate the mediating role of alexithymia in the relationship between defense mechanisms and high-risk behaviors among adolescents in Zahedan. Methods: In this descriptive-correlative study, junior and senior high school students of Zahedan, Iran were studied in the academic year 2015-2016. A sample of 250 (125 males and 125 females) students were chosen by multi-stage cluster sampling and asked to complete the Defense Style Questionnaire (DSQ), Toronto Alexithymia Scale (TAS), and the Risk-Taking Scale (IARS) for Iranian Adolescents. Data analysis was conducted by measuring coefficients of correlation and performing a path analysis. Results: Path analysis showed a significant correlation between defense mechanisms and alexithymia (P<0.01) and a significant correlation was found between immature defense mechanisms and high-risk behaviors (P<0.01). Conclusion: In the relationship between dysfunctional defense mechanisms and high-risk activities, alexithymia played a mediating role. It can be inferred that dysfunctional defense mechanisms play a key role in high-risk activities by influencing alexithymia.


Author(s):  
Александр Слесарев ◽  

The article is devoted to the consideration of the history of the development of the system of diocesan administrations of the unrecognized Belarusian Autocephalous Orthodox Church (BAOC). Formed in 1948–1949, the named religious organization over the next several decades was an influential center for the consolidation of the Belarusian post-war Diaspora. The activities of the parishes of the BAOC were not limited to the organization of services and involved the conduct of social, cultural, educational, publishing and other work. In turn, the control, management and coordination of parish activities largely depended on the principles of organizing diocesan administration. On the basis of the study, it is concluded that the volume of administrative powers of the episcopate is gradually reduced and the role of the laity in the administration of dioceses is strengthened. The noted instability of the diocesan structures of the BAOC in the period under review is explained by the high degree of dependence of the diocesan affiliation of parishes on the relationship with a particular hierarch.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Daleen Van der Merwe ◽  
Hanli de Beer ◽  
Marli Nel ◽  
Susanna M. Ellis

PurposeThis study investigated the influence of marketing- and family-related factors on consumers' in-store usage of different types of food label information. Furthermore, the authors determined the mediating role of consumers' knowledge about healthy foods between these factors and their label consultation.Design/methodology/approachThe authors conducted a survey among 223 purposively selected South African working female consumers via social media. Subjective and objective knowledge about healthy foods, the importance of marketing- and family-related factors and the extent of food label usage were determined. Structural equation modelling served to test the mediating effect of knowledge in the relationship of the marketing and family-related factors with food label usage.FindingsMarketing-related factors demonstrated a strong direct effect on food label usage. Subjective knowledge about healthy foods mediated the relationship between family members' dietary needs and food label usage. However, objective knowledge was not a mediator.Practical implicationsRespondents' firm reliance on marketing-related factors (instead of knowledge) during food label usage is not in the best interest of consumers' healthy food choices. Healthy food choices based on factual knowledge rather than marketing efforts are necessary to establish long-term healthy food habits, hence the need for retailers' response in supplying healthier food options. Role players in consumer education should focus on increasing consumers' healthy food knowledge.Originality/valueIn the context of rising awareness of public health concerns, healthy food choice among consumers is essential. This study contributes to the complexity of consumers' need to make healthy food choices within an economic-driven marketing environment.


Author(s):  
Hasan Shahpari ◽  
Tahereh Alavi Hojjat

This chapter is an introduction to the history of the formation of guilds and how they connect them to the religious and social structures that molded them. The craft-guilds are one of the most interesting and characteristic phenomena of medieval Muslim civilization. The guild in Muslim life was built essentially on the idea of the market and based on the needs of the guildsmen. Many different countries officially claim their commitment to Islam and Islamic economics. However, Islam and Islamic economic systems differ significantly from one country to another. Analysis of the Islamic economic system is impossible without a clear understanding of the legal parameters that shaped such a system. The legal foundation of the Islamic society, known as Shari'a, is considered eternally valid and applicable to all times and places. Islamic laws not only provide society with collections of laws and prescriptions which indicate the Islamic path, they also focus on specific human activities and classify them according to their degree of desirability from God's perspective. Different viewpoints on the relationship between religion, culture, and economic performance are investigated here. Finally, the role of the central bank and Islamic banking and finance will be discussed in detail. While Islamic banks play roles similar to conventional banks, fundamental differences exist between the two models. The main difference between Islamic and conventional banks is that the former operate in accordance with the rules of Shari'a, the legal code of Islam. The central concept in Islamic banking and finance is justice, which is achieved mainly through the sharing of risk. Stakeholders are supposed to share profits and losses, and charging interest is prohibited.


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